踝关节骨折的分型.ppt

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1、关于踝关节骨折的分型现在学习的是第1页，共14页旋前 旋后现在学习的是第2页，共14页内收 外展 外旋AdductionAbductionExteral-rotation现在学习的是第3页，共14页Supination-Adduction(SA)旋后-内收*Transverseavulsion-typefractureofthefibulabelowthelevelofthejointortearofthelateralcollateralligaments.腓骨下端横行撕脱骨折或外侧副韧带撕裂。*Verticalfractureofthemedialmalleolus.内踝垂直骨折线。Cam

2、pbellsoperativeorthopaedics11th现在学习的是第4页，共14页Supination-Eversion(External-Rotation)(SER)旋后-外翻（外旋）*Disruptionoftheanteriortibiofibularligament下胫腓前韧带断裂*Spiralobliquefractureofthedistalfibula腓骨远端螺旋型骨折*Disruptionoftheposteriortibiofibularligamentorfractureoftheposteriormalleolus下胫腓后韧带断裂或后踝骨折*Fractureoft

3、hemedialmalleolusorruptureofthedeltoidligament内踝骨折或三角韧带撕裂现在学习的是第5页，共14页Pronation-Abduction(PA)旋前-外展*Transversefractureofthemedialmalleolusorruptureofthedeltoidligament内踝横行骨折或三角韧带撕裂*Ruptureofthesyndesmoticligamentsoravulsionfractureoftheirinsertions下胫腓韧带联合撕裂或止点骨折*Short,horizontal,obliquefractureofthe

4、fibulaabovethelevelofthejoint.高位短斜形或水平腓骨骨折现在学习的是第6页，共14页Pronation-Eversion(ExternalRotation)(PER)旋前-外翻（外旋）*Transversefractureofthemedialmalleolusordisruptionofthedeltoidligament内踝横行骨折或三角韧带撕裂*Disruptionoftheanteriortibiofibularligament下胫腓前韧带撕裂*Shortobliquefractureofthefibulaabovethelevelofthejoint高位腓

5、骨短斜形骨折*Ruptureofposteriortibiofibularligamentoravulsionfractureoftheposterolateraltibia下胫腓后韧带断裂或后外踝骨折现在学习的是第7页，共14页FIGURE53-7SchematicdiagramandcaseexamplesofLauge-Hansensupination-externalrotationandsupination-adductionanklefractures.A.Asupinatedfootsustainseitheranexternalrotationoradductionforcea

6、ndcreatesthesuccessivestagesofinjuryshowninthediagram.Thesupination-externalrotationmechanismhasfourstagesofinjury,andthesupination-adductionmechanismhastwostages.Anteroposterior(B)andlateral(C)x-raysshowanunstablesupination-externalrotationstageIVanklefracturewiththecharacteristicobliquedistalfibul

7、afractureandamedialsideinjury.D.Ananteroposteriorx-rayofasupination-adductionanklefracturewithatransversefibulafractureandanimpactedmedialmalleolarfracture.现在学习的是第8页，共14页FIGURE53-8SchematicdiagramandcaseexamplesofLauge-Hansenpronation-externalrotationandpronation-abductionanklefractures.A.Apronatedf

8、ootsustainseitheranexternalrotationorabductionforceandcreatesthesuccessivestagesofinjuryshowninthediagram.Thepronation-externalrotationmechanismhasfourstagesofinjury,andthepronation-abductionmechanismhasthreestages.B.Ananteroposteriorx-rayoftheankleandtibiaandfibulademonstrateahighfibulafracture.C.E

9、xternalrotationstressshowslateraldisplacementofthetalusandwideningofthedistalsyndesmosis.Thesex-raysarecharacteristicofapronation-externalrotationinjury.D.Ananteroposteriorx-rayofatypicalpronation-abductionanklefracture.Thefibulaislaterallycomminuted.现在学习的是第9页，共14页Figure59-22Supination-adductioninju

10、rypathology.Thefirststageislateralfailureofeitherthemalleolusorthecollateralligament.Thesecondstageisaverticalfractureofthemedialmalleolus,whichmaybeassociatedwithmedialplafondimpaction,asshownhere.现在学习的是第10页，共14页Figure59-25Supination-externalrotationinjurypathology.Thefirststageisfailureoftheanteri

11、orinferiortibiofibularligament(AITFL).Thesecondstageisaspirallateralmalleolarfractureattheleveloftheplafond.Thethirdstageisposteriorinferiortibiofibularligament(PITFL)failure.Thefourthstageismedialfailureofeithermalleolusorthedeltoidligament.现在学习的是第11页，共14页Figure59-27Pronation-abductioninjurypatholo

12、gy.Thefirststageismedialfailureofeithermalleolusorthedeltoidligament.Thesecondstageissyndesmosis(anteriorinferiortibiofibularligamentandposteriorinferiortibiofibularligament)disruption.Thethirdstageisabendingfractureofthelateralmalleoluswithatransverse,laterallycomminutedpattern.现在学习的是第12页，共14页Figur

13、e59-28Pronation-externalrotationinjurypathology.Thefirststageismedialfailureofeithermalleolusorthedeltoidligament.Thesecondstageisanteriorinferiortibiofibularligamentdisruption.Thethirdstageisaspiralfractureofthefibulaabovetheleveloftheplafond.Thefourthstageisposteriorinferiortibiofibularligamentfailure,demonstratedasaposteriormalleolarfailure.现在学习的是第13页，共14页07.10.2022感谢大家观看现在学习的是第14页，共14页